Consultant, Physical Clinic Expansion (ABA), Part-Time / Contract

Alpaca Health, Inc.; Northern (KY); Hybrid; USD 96,000 - 179,000; Part time

Job summary

Alpaca Health, Inc. is seeking a part-time consultant with proven experience opening and scaling center-based ABA clinics. You will help build Alpaca's clinic-expansion playbook and advise on every step from site selection to utilization.

This is a remote, 1099 engagement offering flexible 5–10 hours per week. You will work with the founding team to design programs, guide licensing and credentialing, equipment choices, and staffing ramp, ensuring financially sustainable center launches across

Qualifications

• You have opened and scaled multiple center-based ABA clinics.
• Experience with real estate, build-out, licensing, credentialing, equipment, staffing, and utilization.
• Understanding ABA reimbursement (Medicaid and commercial) and RBT/BCBA labor dynamics.
• Bonus: BCBA or ABA clinical-ops leadership; multi-state expansion; relationships with ABA-focused healthcare real estate, GC or equipment vendors; comfort with compliance-first arrangements.

Responsibilities

• Help build Alpaca's end-to-end "how to open an ABA center" playbook.
• Advise on market/site selection, lease/LOI and tenant-improvement build-out, and ABA-appropriate floor-plan and room design (including sensory-friendly environments).
• Guide payer credentialing/enrollment and licensing for new locations.
• Advise on equipment and vendor selection (security, cameras, access control) and how Alpaca can standardize and finance it.
• Pressure-test our site-intelligence and in-clinic product ideas.
• Advise on staffing ramp, room utilization, and center-based unit economics, steering us clear of the classic failure modes (expansion outrunning BCBA/RBT hiring; fixed costs meeting reimbursement pressure).
• Over time, coach our provider partners through their own clinic launches.

Skills

Center-based ABA clinics

Clinic expansion

Real estate/site selection

Licensing & credentialing

Staffing ramp & utilization

Payer reimbursement knowledge

Job description

About Alpaca Health

Alpaca Health is the operating system for ABA therapy practices: billing/RCM, scheduling, AI clinical documentation, payroll, intake, and referral routing. We help top ABA practices grow, and we're building the tools and the playbook to help them expand into physical, center-based care.

About the role

We're looking for a consultant who has personally opened and scaled center-based ABA clinics. You'll partner directly with our founding team to build Alpaca's clinic-expansion playbook: how a practice goes from home-based to a thriving physical center, covering site selection, build-out, licensing, credentialing, equipment, staffing ramp, and utilization. Early on you'll advise us as we design the program and product; over time you'll help our provider partners stand up their own clinics.

This is a part-time, hourly (1099) engagement, roughly 5–10 hours/week, remote.

What you'll do

• Help build Alpaca's end-to-end "how to open an ABA center" playbook.
• Advise on market/site selection, lease/LOI and tenant-improvement build-out, and ABA-appropriate floor-plan and room design (including sensory-friendly environments).
• Guide payer credentialing/enrollment and licensing for new locations.
• Advise on equipment and vendor selection (security, cameras, access control) and how Alpaca can standardize and finance it.
• Pressure-test our site-intelligence and in-clinic product ideas.
• Advise on staffing ramp, room utilization, and center-based unit economics, steering us clear of the classic failure modes (expansion outrunning BCBA/RBT hiring; fixed costs meeting reimbursement pressure).
• Over time, coach our provider partners through their own clinic launches.

Who you are

• You've personally opened and scaled multiple center-based ABA clinics (or very adjacent multi-site pediatric therapy / behavioral health): de novo launches, not just running an existing site.
• You know the full stand-up lifecycle: real estate, build-out, licensing, credentialing, equipment, staffing, and utilization.
• You understand ABA / behavioral-health reimbursement (Medicaid and commercial), staffing ratios, and RBT/BCBA labor dynamics.
• Bonus: BCBA or ABA clinical-ops leadership; multi-state expansion experience; relationships with ABA-focused healthcare real estate, general contractors, or equipment vendors; comfort with compliance-first arrangements (fair-market-value, Anti-Kickback/Stark, corporate-practice-of-medicine).

Engagement

• 1099 independent contractor (your own consultancy welcome).
• ~5–10 hours/week, billed hourly. Remote, with optional occasional travel to pilot markets.
• Simple monthly invoicing.